Children with special health care needs (CSHCN) are youth with chronic health conditions that require more health and related services than that of an average child (United States Department of Health and Human Services [USDHHS], 2013) It is estimated that 750,000 CSHCN transition from the pediatric to the adult health care setting in the United States every year (Scal & Ireland, 2005). Often CSHCN develop poorer health outcomes when they move to adult care including decreased disease specific outcomes, decreased medication compliance, decreased follow up care, and decreased quality of life (Campbell et al., 2010). The United States Department of Health and Human Services, Health Resources and Services Administration, and the Maternal Child Health Bureau recommend that “youth with special health care needs receive the services necessary to make appropriate transitions to adult health care” (USDHHS, 2013, p. 46). To ease the change, transitional care programs and interventions are utilized to provide support needed through the use of provider, parent and patient education and guidance. The American Academy of Pediatrics (AAP), the American Academy of Family Physicians (AAFP) the American College of Physicians (ACP), and Healthy People 2020 endorse the use of transitional care programs (2002; USDHHS, 2011). Problem Statement There is a problem in asserting the efficacy of transitional care programs in CSHCN. Despite the endorsements of various institutions in support of transitional care programs, little has been done to study the effectiveness of the programs of improving patient outcomes (Pai & Ostendorf, 2011). This lack of information has left a large gap in clinical knowledge about the proper use, implementation, and efficacy... ... middle of paper ... ...process (AHRQ, 2014; McNeil, 2011; Scal & Ireland, 2005). However, due to the various disease states, developmental levels, and cultural expectations in CSHCN, providers and researchers have been unable to recommend one standardized model for all adolescents experiencing health care transitions (Kaufman & Pinzon, 2007). Consequentially, a wide assortment of transitional interventions, frameworks, and patient and family training programs exist (AHRQ, 2014). Clinical Pathways. A frequently studied interventions for transitional care includes the use of individual or disease specific transition timelines or clinical pathways (AHRQ, 2014). Transition timelines are created years before CSHCN are due to transition to adult care (Gold et al., 2015). These timelines are formal written plans that involve the patient, their parents, and the provider (Kaufman & Pinzon, 2007)
Strasser, Judith A., Shirley Damrosch, and Jacquelyn Gaines. Journal of Community Health Nursing. 2. 8. Taylor & Francis, Ltd., 1991. 65-73. Print.
In 1819 a doctor by the name of Dr. Michael Ward worked as a surgeon in an infirmary. He visited a school where there was 106 students that worked in factories, nearly half of them reported having received injuries in a cotton mill. Childrens arms were often stripped of everything all the way to the bone! The textile factories were bad for the health of the working class family.
LaMantia, M., Scheunemann, L., Viera, A., Busby-Whitehead, J., & Hanson, J. (2010). Interventions to Improve Transitional Care Between Nursing Homes and Hospitals: A Systematic Review. Journal of the American Geriatrics Society, 58(4), 777—82.
Home health care services are not just for elderly patients. In some cases, a family may seek professional assistance for a child that is living with a chronic condition or recovering from an operation. To further support these families and ensure that top quality care is available for all, ACCESS Nursing Services is expanding its pediatric care division in New York, NY, with the hiring of additional physical therapists.
American Academy of Pediactrics. (2003). Family-Centered Care and the Pediatrician’s Role. Available: http://pediatrics.aappublications.org/content/112/3/691.full. Last accessed 23/01/14.
Stein R.E. (2001). Challenges in Long Term Health Care for Children. Ambulatory Pediatrics. 1(5), pp. 280-288.
Health Services Research Foundation. (n.d.). CHSRF - Romanow Commission . Splash . Retrieved February 1, 2011, from http://www.chsrf.ca/PublicationsAndResources/PastSeries/RomanowCommission.aspx
“No cost nor labour did I spare” is a phrase every mother lives by. It shows that a mother loves her children so much that she will give anything up just so her children can reach success in life. The way this is written suggests that there was no thought involved in making this decision, the mother did not even think about it for a second, she knew immediately that she would not spare any cost or labor for her child. Anne Bradstreet is the author who wrote this, suggesting that the most important thing in her entire life is her kid’s success in life. In the poem “In Reference to Her Children,” author Anne Bradstreet demonstrates her love for her children by raising her children with pain and care, watching concernedly her children grow up, and wanting to be with them in the afterlife.
The Joint Commission identified care transitions as one of the most vulnerable areas in patients treatment, outcomes, and quality. Standardized care transition designs support communication, increases patient and healthcare provider’s level of accountability, facilitates health by decreasing
Vogel-Scibilia, S. & McNulty, K. & Baxter, B. & Miller, S. & Dine, M. & Frese III, F. (2009). The Recovery Process Utilizing Erikson’s Stages of Human Development. Community Ment Health J. 45, 405-414. DOI: 10.1007/s10597-009-9189-4.
The chronic care model calls for an organizational change in the way individuals with illnesses are cared for, and the involvement of nurses, social workers and patients themselves. The challenge is moving in an effective way of improving quality from research carried out predominantly in health maintenance organizations to the mainstream of health care practice (Wielawski, 2006). Wagner’s explanation is to substitute the customary physician-centric office structure with one that supports clinical teamwork in association with the patient. The notion spreads outside the health care organization to collaborative associations in the community. Wagner et al. (2001) termed this approach the “chronic care model.” With this model, physicians, nurses, case managers, dieticians, and patient educators
Arizona Department of Health Services. (2011). Office for children with special health care needs: School nursing. Retrieved from http://www.azdhs.gov/phs/ocshcn/school_ nursing_az.htm
Any learning that occurs should focus on treatments, tests, and minimizing pain and discomfort as they improve they can shift their focus of learning (Kitchie, 2014, p.127). I will continue to provide a meeting location that is both comfortable and private. In the emotional aspect of M.M. and her family I will try to identify moments when members feel emotionally supported as it sets the stage for a teachable moment (Miller & Nigolian, 2011, p.56). I will also discuss with each member their previous coping strategies that used that have been successful and to encourage them to find a way to build on and strengthen these qualities. Using teaching methods that are interactive and allow patients equal contributions and participation can help promote health compliance (Habel, 2005,
... the context of chronic illness: a family health promoting process. Journal of Nursing and Healthcare of Chronis Illness 3, (3), 283-92.
The program will aim to measure its performance and will assess for service capacity, flexibility and delivery of services. The clinic will provide client questionnaire cards after every consultation in order to better assess for client satisfaction. The client questionnaire will focus on quality of service, recommendations, and treatment satisfaction. The questionnaires will be reviewed weekly and be look upon as an important tool for client input and overall program improvement. Internally the team along with the supporting staff will conduct a self assessment by using the Behavioral Health Integration Capacity Assessment (BHICA) that is aim at measuring service delivery and will help evaluate the program’s ability to implement integrated